| 狼疮肾炎并发医院感染89例临床分析 |
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| 引用本文： | 尹秀英,许树根,梁萌. 狼疮肾炎并发医院感染89例临床分析[J]. 临床军医杂志, 2010, 38(2): 254-255. DOI: 10.3969/j.issn.1671-3826.2010.02.035 |
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| 作者姓名： | 尹秀英 许树根 梁萌 |
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| 作者单位： | 解放军第174医院,肾内科,福建,厦门,361003 |
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| 摘 要： | 目的探讨狼疮肾炎(LN)并发医院感染的原因及对策。方法收集我科住院治疗的LN 89例,分析该人群的感染发生率、好发部位、病原体特点以及应用糖皮质激素、免疫抑制剂治疗情况。结果89例LN患者中16例(18.0%)20人次出现感染并发症。感染好发部位为肺部、支气管、泌尿道、皮肤、消化道。病原体以细菌最多见(12人次,60%),其次为真菌(5人次,25.0%),病毒2人次(带状疱疹),结核分枝杆菌1人次。89例LN患者均接受不同剂量的肾上腺糖皮质激素治疗,其中90%以上的患者同时使用了环磷酰胺或其他免疫抑制剂治疗。结论LN患者是感染高发人群。肺部是感染最好发部位。临床上应严格掌握上述药物的应用指征和剂量,避免不必要的抗生素使用,同时对患者进行健康宣教,将有利于降低LN患者感染并发症的发生率。
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| 关 键 词： | 狼疮肾炎 医院感染 |
Clinical analysis of 89 LN concurrent hospital infection |
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| Yin Xiu-ying,Xu Shu-gen,Liang Meng. Clinical analysis of 89 LN concurrent hospital infection[J]. Clinical Journal of Medical Officer, 2010, 38(2): 254-255. DOI: 10.3969/j.issn.1671-3826.2010.02.035 |
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| Authors: | Yin Xiu-ying Xu Shu-gen Liang Meng |
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| Affiliation: | Department of Nephrology/a>;PLA NO.174 Hospital/a>;Xiamen Fujian 361003/a>;China |
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| Abstract: | Objective To research and analyze the happening of lupus nephritis(LN) concurrent hospital infection.Methods We collected 89 LN patients hospitalized in our department,and investigated their infection rate,infected sites,characteristics of pathogens,and treatment situation using glucocorticoid and immunosuppressants.Results There were 16 in 89 cases(18.0%) suffering the concurrent infections(20 person-times altogether).The sites easy to be infected were pulmo,bronchus,urinary tract,skin,and alimentary canal... |
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| Keywords: | lupus nephritis nosocomial infection |
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